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Once that 28-day window expires, the pen must be discarded even if it has not been used

Allergic Reactions (Rare): Although rare, some individuals can have an allergic reaction to the injection, ranging from a rash or itching to more severe symptoms like swelling of the face, tongue, or throat, dizziness, or difficulty breathing

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Summary: Vitamin B12 injections after gastric banding are indicated when oral supplementation fails to correct a documented deficiency, neurological symptoms are present, or the patient cannot adhere to daily oral regimens